Chapter 14 – thyroid regulation and dysfunction in the pregnant patient john h lazarus ma md frcp frcog face


Grjibovski AM, Vikanes A; Stoltenberg C Magnus P. Consanguinity and the risk of hyperemesis gravidarum in Norway. Acta Obstetr Gynecol Scand 2008; 87:20-5



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118 Grjibovski AM, Vikanes A; Stoltenberg C Magnus P. Consanguinity and the risk of hyperemesis gravidarum in Norway. Acta Obstetr Gynecol Scand 2008; 87:20-5.

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128 Van Steirteghem A Current status of assisted reproductive technology (ART) 30 years after the first IVF birth .in The Thyroid and Reproduction Ed John Lazarus, Valdis Pirags and Sigrid Butz 2009 Thieme p 7-14

129 Dosiou C, Giudice LC. Natural killer cells in pregnancy and recurrent pregnancy loss: endocrine and immunologic perspectives. Endocrine Rev 2005; 26:44-62

130 Mariee NG, Tuckerman E, Laird S, Li TC. The correlation of autoantibodies and uNK cells in women with reproductive failure. J Reprod Immunol. 2012 ;95:59-66
131 Huang C, Liang P, Diao L, Liu C, Chen X, Li G, Chen C, Zeng Y. Thyroid Autoimmunity is Associated with Decreased Cytotoxicity T Cells in Women with Repeated Implantation Failure.

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132 Medenica S, Nedeljkovic O, Radojevic N, Stojkovic M, Trbojevic B, Pajovic B.Thyroid dysfunction and thyroid autoimmunity in euthyroid women in achieving fertility.Eur Rev Med Pharmacol Sci. 2015;19:977-87
133 Cho MK.Thyroid dysfunction and subfertility.Clin Exp Reprod Med. 2015;42:131-5. doi: 10.5653/cerm.2015.42.4.131
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135 Poppe K, Velkeniers B, Glinoer D. Thyroid disease and female reproduction.Clin Endocrinol 2007;66:309-21
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137 Vissenberg R, Manders VD, Mastenbroek S, Fliers E, Afink GB, Ris-Stalpers C, Goddijn M, Bisschop PH.Pathophysiological aspects of thyroid hormone disorders/thyroid peroxidase autoantibodies and reproduction. Hum Reprod Update. 2015;21:378-87.

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138 Matarese G, De Placido G, Nikas Y, Alviggi C. Pathogenesis of endometriosis: natural immunity dysfunction or autoimmune disease? Trends Mol Med. 2003; 9 :223-8.
139 Konova E. The role of NK cells in the autoimmune thyroid disease-associated pregnancy loss. Clin Rev Allergy Immunol. 2010; 39:176-84
140 Kim NY, Cho HJ, Kim HY, Thyroid autoimmunity and its association with cellular and humoral immunity in women with reproductive failures. Am J Reprod Immunol. 2011; 65: 78-87:
141 Monteleone P, Parrini D, Faviana P, Carletti E, Casarosa E, Uccelli A, Cela V, Genazzani AR, Artini PG. Female Infertility Related to Thyroid Autoimmunity: The Ovarian Follicle Hypothesis.Am J Reprod Immunol. 2011; 66:108-14 doi: 10.1111/j.1600-0897.2010.00961.
142 Lee YL, Ng HP, Lau KS, Liu WM, O WS, Yeung WS, Kung AW. Increased fetal abortion rate in autoimmune thyroid disease is related to circulating TPO autoantibodies in an autoimmune thyroiditis animal model. Fertil Steril. 2009;91: 2104-9 doi: 10.1016/j.fertnstert.2008.07.1704.
143 Twig G, Shina A, Amital H, Shoenfeld Y. Pathogenesis of infertility and recurrent pregnancy loss in thyroid autoimmunity. J Autoimmun. 2012;38:275-81 doi: 10.1016/j.jaut.2011.11.014.
144 Artini PG, Uccelli A, Papini F, Simi G, Di Berardino OM, Ruggiero M, Cela V. Infertility and pregnancy loss in euthyroid women with thyroid autoimmunity.

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145 Practice Committee of the American Society for Reproductive Medicine Subclinical hypothyroidism in the infertile female population: a guideline.Fertil Steril. 2015 ;104:545-53. doi: 10.1016/j.fertnstert.2015.05.028.
146 Yoshioka W, Amino N, Ide A, Kang S, Kudo T, Nishihara E, Ito M, Nakamura H, Miyauchi A.Thyroxine treatment may be useful for subclinical hypothyroidism in patients with female infertility. Endocr J. 2015; 62:87-92. doi: 10.1507/endocrj.EJ14-0300.
147 Scoccia B, Demir H, Kang Y, Fierro MA, Winston NJ. In vitro fertilization pregnancy rates in levothyroxine-treated women with hypothyroidism compared to women without thyroid dysfunction disorders. Thyroid 2012;226:631-6.

148 Gracia CR, Morse CB, Chan G, Schilling S, Prewitt M, Sammel MD, Mandel SJ.

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150. Li TC, Makris M, Tomsu M, Tuckerman E, Laird S .Recurrent miscarriage: aetiology, management and prognosis. Hum Reprod Update. 2002;8:463-81

151 Stagnaro-Green A, Roman SH, Cobin RH, el-Harazy E, Alvarez-Marfany M, Davies TF. Detection of at-risk pregnancy by means of highly sensitive assays for thyroid autoantibodies. JAMA. 1990; 19:1422-5.
152 Prummel MF, Wiersinga WM. Thyroid autoimmunity and miscarriage.Eur J Endocrinol. 2004;150: 751-5
153 Krassas GE Perros P Kaprara A Thyroid autoimmunity, infertility and miscarriage Expert Rev. Endocrinol Metab 2008 3 127-36
154 Benhadi N, Wiersinga WM, Reitsma JB, Vrijkotte TG, Bonsel GJ. Higher maternal TSH levels in pregnancy are associated with increased risk for miscarriage, fetal or neonatal death. Eur J Endocrinol. 2009;160:985-91
155 Hirsch D, Levy S, Nadler V, Kopel V, Shainberg B, Toledano Y Pregnancy outcomes in women with severe hypothyroidism. Eur J Endocrinol. 2013 29;169: 313-20.
156 De Vivo A, Mancuso A, Giacobbe A, Moleti M, Maggio Savasta L, De Dominici R, Priolo AM, Vermiglio F. Thyroid function in women found to have early pregnancy loss. Thyroid 2010; 20:633-37.
157 Chen L, Hu R. Thyroid autoimmunity and miscarriage: a meta-analysis.Clin Endocrinol . 2011;74:513-19
158 Abbassi-Ghanavati M, Casey BM, Spong CY, McIntire DD, Halvorson LM, Cunningham FG. . Pregnancy outcomes in women with thyroid peroxidase antibodies. Obstet Gynecol. 2010; 116 381-86.
159 Thangaratinam S, Tan A, Knox E, Kilby MD, Franklyn J, Coomarasamy A. Association between thyroid autoantibodies and miscarriage and preterm birth: meta-analysis of evidence. BMJ. 2011;9: 342:d2616. doi: 10.1136 /bmj.d2616

160 van den Boogaard E, Vissenberg R, Land JA, van Wely M, van der Post JA, Goddijn M, Bisschop PH Significance of (sub)clinical thyroid dysfunction and thyroid autoimmunity before conception and in early pregnancy: a systematic review. Hum Reprod Update. 2011;17:605-19. doi: 10.1093/humupd/dmr024.


161 Yan J, Sripada S, Saravelos SH, Chen ZJ, Egner W, Li TC Thyroid peroxidase antibody in women with unexplained recurrent miscarriage: prevalence, prognostic value, and response to empirical thyroxine therapy Fertil Steril. 2012 ; 98:378-82.
162 Vissenberg R, van den Boogaard E, van Wely M, van der Post JA, Fliers E, Bisschop PH, Goddijn M. Treatment of thyroid disorders before conception and in early pregnancy: a systematic review. Hum Reprod Update. 2012;18: 360-73.

163 Roberts J, Jenkins C, Wilson R, Pearson C, Franklin IA, MacLean MA, McKillop JH, Walker JJ.: Recurrent miscarriage is associated with increased numbers of CD5/20 positive lymphocytes and an increased incidence of thyroid antibodies. Eur J Endocrinol 1996;134:84-6

164 Matalon ST, Blank M, Levy Y, Carp HJ, Arad A, Burek L, Grunebaum E, Sherer Y, Ornoy A, Refetoff S, Weiss RE, Rose NR, Shoenfeld Y. The pathogenic role of anti-thyroglobulin antibody on pregnancy: evidence from an active immunization model in mice. Hum Reprod 2003;18:1094-9

165 Moravej A, Jeddi-Tehrani M, Salek-Moghaddam AR, Dokouhaki P, Ghods R, Rabbani H, Kazemi-Sefat GE, Shahbazi M, Zarnani AH..Evaluation of thyroglobulin expression in murine reproductive organs during pregnancy.Am J Reprod Immunol. 2010; 1;64:97-103. doi: 10.1111/j.1600-0897.2010.00827.x

166 Ticconi C, Giuliani E, Veglia M, Pietropolli A, Piccione E, Di Simone N. Thyroid autoimmunity and recurrent miscarriage.Am J Reprod Immunol. 2011;66: 452-9.

167 Bagis T, Gokcel A, Saygili ES: Autoimmune thyroid disease in pregnancy and the postpartum period: relationship to spontaneous abortion. Thyroid 2001; 11:1049-53

168 Velkeniers B, Van Meerhaeghe A, Poppe K, Unuane D, Tournaye H, Haentjens P. Levothyroxine treatment and pregnancy outcome in women with subclinical hypothyroidism undergoing assisted reproduction technologies: systematic review and meta-analysis of RCTs. Hum Reprod Update. 2013;19:251-8. doi: 10.1093/humupd/dms052

169 Macklon NS, New Approaches to Ovarian Stimulation, In: John Lazarus Valdis Pirags Sigrid Butz, Eds. The Thyroid and Reproduction, Stuttgart: Georg Thieme Verlag, 2009:15-26


170 Toulis KA, Goulis DG, Venetis CA, Kolibianakis EM, Negro R, Tarlatzis BC, Papadimas I. Risk of spontaneous miscarriage in euthyroid women with thyroid autoimmunity undergoing IVF: a meta-analysis. Eur J Endocrinol. 2010 ;162:643-52. doi: 10.1530/EJE-09-0850.
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172 Negro R, Mangieri T, Coppola L Presicce G, Casavola EC, Gismondi R, Locorotondo G, Caroli P, Pezzarossa A, Dazzi D, Hassan H.Levothyroxine treatment in thyroid peroxidase antibody-positive women undergoing assisted reproduction technologies: a prospective study. Hum Reprod. 2005; 20:1529-33
173 Shoenfeld Y, Carp HJ, Molina V, Blank M, Cervera R, Balasch J, Tincani A, Faden D, Lojacono A, Doria A, Konova E, Meroni PL. Autoantibodies and prediction of reproductive failure. Am J Reprod Immunol. 2006;56: 337-44.

174 Kilic S, Tasdemir N, Yilmaz N, Yuksel B, Gul A, Batioglu S. The effect of anti-thyroid antibodies on endometrial volume, embryo grade and IVF outcome.Gynecol Endocrinol. 2008 ;24:649-55


175 Zhong YP, Ying Y, Wu HT, Zhou CQ, Xu YW, Wang Q, Li J, Shen XT, Li J.

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176 Negro R, Formoso G, Coppola L Presicce G, Mangieri T, Pezzarossa A, Dazzi D. Euthyroid women with autoimmune disease undergoing assisted reproduction technologies: the role of autoimmunity and thyroid function.J Endocrinol Invest. 2007 ;30:3-8.
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178 Łukaszuk K, Kunicki M, Kulwikowska P, Liss J, Pastuszek E, Jaszczołt M, Męczekalski B, Skowroński K. The impact of the presence of antithyroid antibodies on pregnancy outcome following intracytoplasmatic sperm injection-ICSI and embryo transfer in women with normal thyreotropine levels.J Endocrinol Invest. 2015 ;38:1335-43


179 Unuane D, Velkeniers B, Deridder S, Bravenboer B, Tournaye H, De Brucker M. Impact of thyroid autoimmunity on cumulative delivery rates in in vitro fertilization/intracytoplasmic sperm injection patients.Fertil Steril. 2016;106:144-50. doi: 10.1016/j

180 Kiprov DD, Nachtigall RD, Weaver RC, Jacobson A, Main EK, Garovoy MR. The use of intravenous immunoglobulin in recurrent pregnancy loss associated with combined alloimmune and autoimmune abnormalities. Am J Reprod Immunol 1996; 36:228-34,

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197 Karakosta P, Alegakis D, Georgiou V, Roumeliotaki T, Fthenou E, Vassilaki M, Boumpas D, Castanas E, Kogevinas M, Chatzi L.Thyroid dysfunction and autoantibodies in early pregnancy are associated with increased risk of gestational diabetes and adverse birth outcomes. J Clin Endocrinol Metab. 2012;97:4464-72. doi: 10.1210/jc.2012-2540
198 Saki F, Dabbaghmanesh MH, Ghaemi SZ, Forouhari S, Omrani GR, Bakhshayeshkaram M. Thyroid autoimmunity in pregnancy and its influences on maternal and fetal outcome in Iran (a prospective study).Endocr Res. 2015;40:139-45. Doi:10.3109/07435800.2014.966384

199 Kumru P, Erdogdu E, Arisoy R, Demirci O, Ozkoral A, Ardic C, Ertekin AA, Erdogan S, Ozdemir NN. Effect of thyroid dysfunction and autoimmunity on pregnancy outcomes in low risk population.Arch Gynecol Obstet. 2015;291:1047-54. doi: 10.1007/s00404-014-3533-9.


200 Oztas E, Erkenekli K, Ozler S, Aktas A, Buyukkagnıcı U, Uygur D, Danisman N. First trimester interleukin-6 levels help to predict adverse pregnancy outcomes in both thyroid autoantibody positive and negative patients. J Obstet Gynaecol Res. 2015; 41:1700-7. doi: 10.1111/jog.12799.
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202 Korevaar TI, Schalekamp-Timmermans S, de Rijke YB, Visser WE, Visser W, de Muinck Keizer-Schrama SM, Hofman A, Ross HA, Hooijkaas H, Tiemeier H, Bongers-Schokking JJ, Jaddoe VW, Visser TJ, Steegers EA, Medici M, Peeters RP.Hypothyroxinemia and TPO-Antibody Positivity Are Risk Factors for Premature Delivery: The Generation R Study. J Clin Endocrinol Metab. 2013;98:4382-90.
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